A Case of Total Anomalous Pulmonary Venous Connection to the Portal Vein

概要

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A total of 16 patients received 17 surgical treatments for acute arterial insufficiency during an 8-year-period. Causes were arteriosclerosis obliterans in 9, atrial fibrillation in 3, polycythemia in 2, and complication after retrograde aortography icter stupor and unknown in each 1. The initial surgical results were excellent in 7, good in 1 and poor in 9. Seven patients were operated upon within 24 hours of the onset of acute arterial insufficiency and the remainders some time later. Because the initial surgery had failed, further surgical procedures were performed on 6 patients. The results of the repeated operation were excellent in 2 and poor in 4. The patients with arterial reconstruction for arteriovenous fistula between the posterior tibial artery and vein created during the second surgical treatment, enjoyed an excellent result. An arterriovenous fistula stimulates to develop collateral circulation. The use of an arteriovenous fistula seems justified for revascularization of an ischemic extremity resulting from arteriosclerosis obliterans.
Yamaguchi University Graduate School of Medicineの論文